sadc hiv and aids business planhousehold level, hiv and aids is increasing levels of poverty and...
TRANSCRIPT
[ 1 ]
SADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSSADC HIV and AIDSBusiness Plan:Business Plan:Business Plan:Business Plan:Business Plan:Strategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business PlanStrategic 5-Year Business Plan2005-20092005-20092005-20092005-20092005-2009
[ 2 ]
SADC HIV and AIDS Business Plan
© SADC HIV and AIDS Unit, November 2004
ISBN: 99912 - 563 - 5 - 0
The contents of this publication are the sole responsibility of SADC. Thedesignations employed in the presentation of the material in this publicationdo not imply the expression of any opinion whatsoever on the part of theSADC Secretariat concerning the legal status of any country, territory, city orarea or of its authorities, or concerning the delimitations of its frontiers orboundaries.
The mention of specific companies, organisations, or certain manufacturers’products does not imply that they are endorsed or recommended by theSADC Secretariat in preference to others of a similar nature that are notmentioned.
For more information
SADC HIV and AIDS UnitDepartment of STrategic Planning, Gender and Policy HarmonisationPrivate Bag 0095GaboroneBotswanaTel: (+267) 395 1863Fax: (+267) 397 2848 / 318 1070Email: [email protected]: www.sadc.int
[ 3 ]
1. Introduction 4
1.1 HIV and AIDS in the SADC Region 4
1.2 The SADC HIV and AIDS Business Plan 4
2. Strategic Context of the Business Plan 5
2.1 The Regional Indicative Strategic Development Plan 5
2.2 SADC Strategic Framework and Programme of Action 5
2.2.1 Key Principles 6
2.2.2 Areas of Strategic Focus 6
2.3 Maseru Declaration 7
3. Priorities of the Business Plan 9
4. Implementation of the Business Plan 12
4.1 Mandate of the HIV and AIDS Unit 12
4.2 Internal Organisational Arrangements 12
4.2.1 Relationship between the HIV and AIDS Unitand the Directorates 13
4.2.2 Relationship between the HIV and AIDS Unit and other Units 14
4.2.3 Relationship between the Unit and the Member States 14
4.2.4 Relationship Between The Unit And Other Regional AndInternational Stakeholders 14
5. Financing the Business Plan 16
6. Monitoring the Business Plan 18
Annex 1 20SADC Five Year Plan for HIV and AIDS 2005–2008
Table of ContentsTable of ContentsTable of ContentsTable of ContentsTable of Contents
[ 4 ]
SADC HIV and AIDS Business Plan
1.1 HIV and AIDS in the SADCRegion
The Southern Africa DevelopmentCommunity (SADC) region is the worstaffected by HIV and AIDS in the world. Thecombined population of the SADC statesamounts to only 3.5 per cent of the world’spopulation, but accounts for more than 37per cent of people living with HIV and AIDSin the world.
HIV transmission in the region ispredominantly heterosexual (92%).Consequently, the most affected are thesexually active adults in the 20 to 49-yearage group, the so-called producers andproviders. Vertical transmission frommother to child accounts for 7 per cent oftotal infections and childhood HIV infectionis now the underlying factor in the majorityof childhood illnesses in the highly affectedMember States.
The HIV and AIDS epidemic in the regionis fuelled by a multiplicity of factors suchas poverty, cultural practices, migrantlabour within and between countries,separation of spouses for economic reasons,gender imbalances, intergenerational sex,sexual violence against women, illiteracy,stigma and discrimination, populationmobility, alcohol abuse, and emergencysituations such as civil conflict, war anddisplacement. These factors provide anenvironment in which the immediatedeterminants that facilitate transmissioncan occur.
The impact of HIV and AIDS is being feltacross all sectors in most SADC MemberStates, notably the health, business,agriculture and education sectors. Athousehold level, HIV and AIDS isincreasing levels of poverty and causing thedissolution of many families. At nationallevel, the combination of HIV and AIDS,and famine, have resulted in a humanitariancrisis in some Member States.
1.2 The SADC HIV and AIDSBusiness Plan
SADC member states have, therefore,recognised the urgent need to intensify theirinterventions to address the pandemic. InJuly 2003, an Extraordinary SADC Summitwas convened to adopt the SADC StrategicFramework and Programme of Action(2003-2007) and the Maseru Declaration onthe Combating of HIV and AIDS in theSADC region. These two documentsprovided the policy direction and politicalcommitment, which the SADC Secretariathas been tasked to put into operation.
At the meeting of the SADC Council in Dares Salaam, August 2003, it was agreed thatthere was a need to develop a SADC HIVand AIDS Business Plan. Throughconsultation with the Member States, aninitial plan was developed. At the regionalworkshop, held in South Africa on 26-28th
July 2004, representatives from NationalAIDS Authorities of all SADC MemberStates discussed and refined the plan, andshared information on country experiencesin responding to the challenges of HIV andAIDS. This meeting provided for frankdiscussions, practical solutions and thereaffirmation that all stakeholders must befully involved. Concrete recommendationswere made on treatment, the multi-sectoralresponse, resource mobilisation, monitoringand evaluation, networking andinformation sharing, and response underemergency situations. These have been fullyintegrated into this Strategic 5-year BusinessPlan.
1.1.1.1.1. IIIIIntroductionntroductionntroductionntroductionntroduction
[ 5 ]
The HIV and AIDS Business Plan has beendeveloped in the context of three key SADCpolicy documents. These documents haveserved to set the Business Plan in its strategiccontext and will continue to guide SADC’sresponse over each five-year timeframe.
2.1 The Regional Indicative StrategicDevelopment Plan (RISDP)
In March 2001, SADC Member States metin Windhoek to approve the restructuringof SADC Institutions. This restructuringprocess resulted in the clustering of theoriginal twenty-one sectors of SADC intofour Directorates in order to improve theefficiency and effectiveness of SADCpolicies and programmes.
In addition, the RISDP was developed,which aimed to complement therestructuring by providing clear strategicdirection for SADC policies andprogrammes. By providing Member Stateswith a consistent and comprehensiveprogramme for long-term economic andsocial policies, the RISDP aims to deepenregional integration.
The HIV and AIDS Business Plan has beendeveloped in the context of the Regional
Indicative Strategic Development Plan(RISDP) and is a detailed, time-bound, ‘roadmap’, identifying intervention areas, keyactivities and performance indicators, aswell as the role of different stakeholders.
In addition, a set of Project Concept Noteshas been developed, based on the BusinessPlan, for the purpose of financing theactivities. Partners who are keen to supportdifferent intervention areas can select froma ‘menu’ of activities and provide thenecessary financial and technical input.
2.2 The SADC Strategic Frameworkand Programme of Action
The Vision of the Strategic Framework is toachieve significantly reduced levels of HIVand AIDS in the SADC region. Theoverarching goal is to decrease the numbersof individuals and families infected andaffected by HIV and AIDS in the region, soas to ensure that HIV and AIDS is no longera threat to public health and to sustainedsocio-economic development of MemberStates. In order to achieve this goal, theobjectives and expected outcomes havebeen identified below:
2.2.2.2.2. Strategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business PlanStrategic Context of the Business Plan
Main Objectives Expected Outcomes
To reduce the incidence of new infections Reduced incidence and prevalence of HIV and AIDSamong the most vulnerable groups within in the SADC region.SADC
To mitigate the socio-economic impact of Strategies for responding to the socio-economicHIV and AIDS impact of HIV and AIDS are developed and
implemented in all programme areas of SADC.
To review, develop and harmonise policies and Policies and programmes of SADC are harmonisedlegislation relating to HIV prevention, care and and effectively co-ordinated.support, and treatment within SADC
To mobilise and co-ordinate resources for a Adequate regional and global resources are mobilisedmulti-sectoral response to HIV and AIDS in and effectively utilised in a co-ordinated responsethe SADC region in the region.
To monitor the implementation of the Monitoring mechanisms are in place, includingSADC Framework and regional, continental disaggregated data and information by gender.and global commitments, ensuring that genderis fully mainstreamed.
[ 6 ]
SADC HIV and AIDS Business Plan
2.2.1 Key Principles
A set of nine key principles were used toguide the development of the StrategicFramework, and will be utilised to directits implementation through the BusinessPlan. These are:
• That all policies and programmes tocombat the HIV epidemic be basedon a multi-sectoral response,consistent with strategies at thenational level.
• The principle of subsidiarity whichimplies that all policies andprogrammes should be developedand implemented at the level atwhich they can be most effective.
• The prioritisation of activities toreflect the principle of importanceand additivity. This meansconcentrating on those issues thatare crucial for the overall success ofSADC.
• That gender mainstreaming iscarried out in all policies andprogrammes, as it is understood thatthe relationships between men andwomen are integral to thedevelopment of an effectiveresponse to the epidemic.
• That SADC activities on HIV andAIDS reflect its comparativeadvantage as a regionalorganisation and the allocation ofresponsibilities to the Directorates orsectors should be in line with theirmandates.
• That SADC policies andprogrammes are complementary tothose of Member States, to avoidoverlap and duplication.
• That SADC activities are carried outwithin a framework that recognisesthe role of national, regional andinternational players.
• That policies and programmes arebased upon the respect of humanrights , and the obligations that
Members States have agreed to assignatories to international andregional conventions.
• That effective and relevant policiesand programmes need to bedeveloped in collaboration withpartners at national and regionallevel.
2.2.2 Areas of Strategic Focus
The Strategic Framework further elaboratesthe main areas and parameters for a regionalresponse to HIV and AIDS. The main areasof strategic focus are:
i Policy development andharmonisation in key areas such asprevention, care, support andtreatment.
ii Mainstreaming of HIV and AIDS inall SADC core areas, and regionalintegration in view of the multi-dimensional nature of the pandemic.
iii Capacity building to undertake themainstreaming of HIV and AIDS atall the levels in SADC throughvarious institutional measuresincluding provision and retention ofthe required skills.
iv Facilitating technical responsesthrough the development ofguidelines and exchange of bestpractices.
v Facilitating resource networks bymapping available resources,rationalising activities and focusinginterventions on regional prioritiesand common needs.
vi Facilitating the monitoring of regionaland global commitments so thatMember States have a commoninterest in creating conditions that areconducive to the attainment oftargets.
[ 7 ]
2.3 Maseru Declaration
The Maseru Declaration of 4th July 2003, setsout SADC Member States’ commitment tocombating HIV and AIDS. It outlines fivekey priority areas for action, which havebeen incorporated into the Business Plan.
The Maseru Declarationon HIV and AIDS
2003Priority Areas
i Prevention and Social Mobilisation
ii Improving Care, Access toCounselling and Testing Services,Treatment and Support
iii Accelerating Development andMitigating the Impact of HIV andAIDS
iv Intensifying ResourceMobilisation
v Strengthening Institutional,Monitoring and EvaluationMechanisms
i Prevention and Social Mobilisation
Prevention and social mobilisation will beachieved by reinforcing multi-sectoralprevention programmes that promoteresponsible sexual behaviour andintensifying the provision of user-friendlyreproductive health services. In addition,programmes designed to increase capacitiesof women and girls to protect themselvesfrom the risk of HIV infection, andprogrammes to improve education andemployment opportunities for youth will bepromoted. Prevention of Mother to ChildTransmission (PMTCT) programmes willalso be scaled up as well as HIV and AIDSeducation for all stakeholders. Finally,strategies to prevent the spread of HIVamong the national uniformed services willbe implemented.
ii Improving Care, Access toCounselling and Testing Services,Treatment and Support
In order to improve care, treatment andsupport, national health care systems aswell as family and community based carestructures will be strengthened to ensurethat the capacity of caregivers is developed.Workplace and VCT programmes will beexpanded and supported and efforts willbe made to remove stigma and discrimationof people living with HIV and AIDS.Through regional initiatives, essentialmedicines, including ARVs, will be suppliedat affordable prices. Nutrition programmeswill be invested in, and a regulatoryframework for the utilisation of traditionalmedicines will be developed.
iii Accelerating Development andMitigating the Impact of HIV andAIDS
Accelerating development and mitigatingthe impact of HIV and AIDS will take placeby creating an enabling environment toaddress underlying factors that lead to HIVinfection. Policies and strategies as well asregional initiatives will be harmonised andenhanced, and best practices sharedbetween Member States. HIV and AIDSwill be mainstreamed into the regionalintegration process and focal interventionareas. In addition, the economic and socialimpact of HIV and AIDS will be evaluatedand mechanisms to mitigate these impactswill be established.
iv Intensifying ResourceMobilisation
In order to achieve the above goals, SADCMember States pledge to mobilise sufficientresources, involve all stakeholders andensure that funds are rapidly disbursed. ARegional Fund for the implementation of theHIV and AIDS Strategic Framework is tobe established. The Maseru Declaration alsoreaffirms the commitment of Member Statesto allocate at least 15 per cent of theirbudgets for improving the health sector andurges International Cooperating Partners toincrease their financial and technicalsupport.
[ 8 ]
SADC HIV and AIDS Business Plan
v Strengthening Institutional,Monitoring and EvaluationMechanisms
Institutional mechanisms for HIVsurveillance, sharing of experiences andexchange of information on key interventionareas will be established, while training willbe intensified to strengthen Member States’capacities to manage the epidemic.Monitoring and evaluation will take placeto ensure the efficacy of the implementationof the Maseru Declaration, othercontinental and global commitments, andthe SADC HIV and AIDS StrategicFramework and Programme of Action(2003-2007).
[ 9 ]
HIV and AIDS feature prominently in theRISDP as one of the key priority areas forintervention. The Business Plan for HIV andAIDS was developed in this context and has,therefore, focused on five key interventionareas, namely:
i. Policy Development andHarmonisation
ii. Capacity Building andMainstreaming HIV and AIDSinto all SADC policies and plans
iii. Facilitation of a TechnicalResponse, Resource Networks,Collaboration and Coordination
iv. Resource Mobilization for theRegional Multi-Sectoral Response
v. Monitoring and Evaluation of theRegional Multi-Sectoral Response
Under each of these intervention areas, keyactivities and performance indicators havebeen highlighted, as well as the role ofvarious stakeholders and the anticipatedtimeframes. The detailed activities of theBusiness Plan are tabled in Annex 1.
Output 1: Policy Development andHarmonisation
Policy Development and Harmonisationmakes up much of the work of the HIV andAIDS Unit. Within this intervention area,seven different outputs have been identified.
Output 1.1 under this intervention areastates that policies for intervention areharmonised. This includes the need todevelop, harmonise and review policies insix different target areas:
• Regional guidelines for BehaviourChange Communication (BCC)programmes, including the role of
cultural and sporting industries inHIV prevention;
• Guidelines for programming HIVand AIDS in the uniformed forces;
• Programmes and guidelines forspecial HIV prevention andvulnerability reduction targeted atpre-adolescents, young people andwomen;
• Guidelines for the prevention ofmother to child transmission(PMTCT);
• Regional guidelines for STI/HIV andbehavioural surveillance systems;and
• Regional guidelines for reducingHIV and AIDS related stigma anddiscrimination.
Output 1.2 specifies that policies for careand support are harmonised. This processwill take place by reviewing, developing andharmonising guidelines and policies in thefollowing four target areas:
• Comprehensive care and support,including nutrition, for people livingwith HIV and AIDS;
• Policies and programmes fororphans and vulnerable children(OVCs);
• Regional joint procurement of drugs,medical supplies and testingreagents; and
• Guidelines for voluntary counsellingand testing (VCT).
Output 1.3 demands that policies fortreatment are harmonised. This includes
• The review and harmonization ofprotocols for STI treatment, HIV andAIDS, TB and other opportunisticinfections;
3.3.3.3.3. Priorities of the Business PlanPriorities of the Business PlanPriorities of the Business PlanPriorities of the Business PlanPriorities of the Business Plan
[ 10 ]
SADC HIV and AIDS Business Plan
• The implementation of regionalguidelines for the use of indigenousknowledge systems in developingand producing alternative drugs andmedicines for treatment of commondiseases, including HIV and AIDS;and
• The review and harmonisation ofguidelines for health deliverysystems taking into considerationHIV and AIDS mainstreaming andthe roll-out of anti-retroviral (ARV)treatment.
Output 1.4 under this intervention area isthat policy on HIV and AIDS migrant/mobile and displaced populations isdeveloped and harmonised. This process willtake place by developing and harmonisingguidelines, laws and programmeinterventions in the following four targetareas:
• High transmission areas like highactivity areas, cross border sites andhigh traffic sites in the context of theproposed SADC protocol on the freemovement of people;
• Health issues for displaced andmobile populations including illegalimmigrants focusing on treatmentcontinuity, health services, messages,drug labelling information;
• Transit at borders and ports;
• ARV treatment related to migrantsand the equity in treatment accessacross countries.
Output 1.5 outlines that regional policiesand plans to sustain increasing humanresource needs as a consequence of HIV andAIDS are developed and harmonised inSADC. This is to be achieved by:
• Developing and harmonising aregional multi-sectoral HumanResource and HIV and AIDS policyfor education and training, retentionand safe work environments in thepublic service;
• Supporting the inclusion of the
policy in the country coordinatingmechanisms, in HR bilateralfunding and in public sectorexpenditure negotiations withmulti-lateral agencies such as theIMF and World Bank.
Output 1.6 specifies that a corporate policyon HIV and AIDS at the SADC Secretariatis developed and implemented. This policywill be developed and the guidelinesimplemented by the end of 2005.
Output 1.7 targets the SADC sectors andrequires that sectoral policies on HIV andAIDS are developed and harmonised in allSADC sectors . These policies will bedeveloped for the Food, Agriculture andNatural Resources Directorate, the HumanSocial Development and SpecialProgrammes Directorate, the Infrastructureand Services Directorate and the Trade,Finance and Investment Directorate.
Output 2: Capacity Building andMainstreaming HIV andAIDS into all SADCPolicies and Plans
The Business Plan’s second interventionarea covers both capacity building and HIVand AIDS mainstreaming. This interventionarea aims to achieve three outputs.
Output 2.1 requires integrating HIV andAIDS in all SADC policies andprogrammes. The key tasks will involve
• Strengthened capacity of theSecretariat to integrate andfacilitate implementation of HIVand AIDS in all sectors of theSADC Programme;
• Support to the mainstreaming ofHIV and AIDS in all sectors ofSADC at Member State level.
Output 2.2 seeks the piloting models ofintegrating HIV and AIDS . This will takeplace through developing:
• A SADC model to assist children
[ 11 ]
affected by the epidemic to remainin school through ‘Circles ofSupport’;
• A model for reducing thevulnerability of transport workersto HIV infection through a multi-country transport initiative;
• A model for integrating HIV andAIDS into water resourcemanagement;
• A SADC programmes andguidelines for reducingvulnerability to the risk ofoccupational exposure to HIVinfection at the workplace indifferent sectors.
Output 2.3 requires the improving andsustaining of human resources and technicalcapacity in Member States. The key taskswill involve the
• Provision of technical support toMember States to review andstrengthen their capacity for multi-sectoral coordination of HIV andAIDS programmes in the contextof mainstreaming; and
• Review and strengthening ofHuman Resource practices andprocedures to mitigate the impactof HIV and AIDS on the publicservice.
Output 3: Facilitation of a TechnicalResponse, ResourceNetworks, Collaborationand Coordination
The third intervention area has a broadmandate covering two outputs.
Output 3.1 is the enhanced coordination andsharing of technical information andresource in HIV and AIDS among MemberStates and partners, which will be achievedby establishing a regional database,mechanisms for the exchange of scientific
and behavioural research results andfacilitating information exchangethroughout the region and across SADCsectors.
Output 3.2 aims to achieve enhancedcollaboration in the response to HIV andAIDS and related diseases in SADC,through better regional collaboration.
Output 4: Resource Mobilization forthe Regional Multi-SectoralResponse
The Business Plan’s fourth intervention areafocuses on the financial side of the multi-sectoral response by ensuring that the fundsto match the needs of the regional HIV andAIDS response are secured, through theresource mobilisation plan, theestablishment of a SADC trust fund, theimplementation of the Project ConceptNotes and the maintenance of partnershipsfrom the donor community.
Output 5: Monitoring and Evaluationof the Regional Multi-Sectoral Response
Effective monitoring of the HIV and AIDSresponse in the SADC region will be carriedout by focusing on the following four keyareas:
• Implementation of the MaseruDeclaration, Abuja Declaration andUNGASS;
• Development and implementationof an M&E Plan for a RegionalMulti-Sectoral Response;
• Monitoring the implementation ofthe existing SADC Code of Conducton employment and HIV and AIDS;and
• Establishment of an InformationManagement System for trackingthe HIV and AIDS Response atSADC level.
[ 12 ]
SADC HIV and AIDS Business Plan
4.1 Mandate of the HIV and AIDSUnit
The broad mandate of the HIV and AIDSUnit is to lead, coordinate and manageSADC’s response to the epidemic throughthe operationalisation of the HIV and AIDSStrategic Framework (2003-2007) and theMaseru Declaration. After the restructuringof SADC, the HIV and AIDS Unit has takenover the role of coordinating SADC’sresponse to HIV and AIDS from theprevious Health Sector Coordination Unit.
In executing the above mandate, the Unitwill direct its focus on SADC’s key strategicintervention areas including:
a) Mainstreaming HIV and AIDS in theregion - at policy level, programmelevel,project level and activity level -through the Directorates and theDepartment of Strategic Planning,Gender and Policy Harmonization.
b) Developing and strengthening thecapacity to undertake themainstreaming of HIV and AIDS at alllevels in SADC, and creating the skillsneeded for the integration of HIV andAIDS in all policies and programmes.
c) Co-ordinating and harmonising thedevelopment of policies and strategiesin major intervention areas, includingprevention; care and treatmentincluding provision of antiretroviraldrugs (ARV), nutrition and traditionalmedicines; and procurement andmanufacturing of essential drugs andmedical supplies for the management ofHIV and AIDS and related conditions.
d) Facilitating technical response andnetworks by providing mechanisms andframeworks for the development ofguidelines and exchange of bestpractices in the major intervention areassuch as mainstreaming of HIV andAIDS, Prevention of Mother to Child
4.4.4.4.4. Implementation of the Business PlanImplementation of the Business PlanImplementation of the Business PlanImplementation of the Business PlanImplementation of the Business Plan
Transmission (PMTCT), support toorphans, home based care, andtreatment of HIV-related conditions,including antiretroviral therapy (ART).
e) Coordinating and facilitating themonitoring of regional and globalcommitments, in particular the AbujaDeclaration, Millennium DevelopmentGoals (MDG) and UNGASS targets forHIV and AIDS, and related indicators;and the publication of regular reviewsfor SADC as a whole to supplement themonitoring being undertaken at thelevel of individual countries.
f) Advocacy and Resource Mobilisation,including spearheading advocacy foreffective action on the epidemic in theregion; and advocacy on strategic issuessuch as governance and nationalleadership in AIDS, gender imbalance,Greater Involvement of Persons livingwith HIV and AIDS (GIPA), culture andvulnerable groups.
h) Establishing and sustaining strategicpartnerships with the Civil societysector including Business and withbilateral and multilateral organisationsin the region and internationally.
4.2 Internal OrganisationalArrangements
The Business Plan will be driven by the HIVand AIDS Unit, through a team of four corestaff members and complemented by projectstaff. Given the multi-dimensional, multi-level and multi-sectoral nature of theepidemic, the HIV and AIDS Unit needs towork closely with the SADC SecretariatDirectorates and the other SADC Units.
In order to implement the Business Plan asefficiently and effectively as possible, theHIV and AIDS Unit has regular informedinteraction with the Secretariat Directoratesand the other Units. In addition, the HIVand AIDS Unit works with Member States,
[ 13 ]
Regional and International Stakeholders,International Cooperating Partners andCivil Society Stakeholders.
The organisational structure is shown in thediagram below.
HIV & AIDSUnit Manager’s
Office
PolicyDevelopment and
HarmonisationSection
Capacity Buildingand
MainstreamingSection
TechnicalCollaborationand Research
Section
Directorate forTrade, Industry,
Finance andInvestment
Directorate forFood, Agriculture
and NaturalResources
Directorate forSocial and HumanDevelopment and
SpecialProgrammes
Directorate forInfrastructureand Services
Organisational Structure of the SADC HIV and AIDS Unit
Chief Director’sOffice
Department forStrategic Planning,Gender and Policy
Harmonisation
4.2.1 Relationship between the HIVand AIDS Unit and the Directorates
Directorates have the primary responsibilityto support sectors that are linked to theircore business in the region to mounteffective multisectoral national and regionalresponses. The Unit interacts with theDirectorates in accordance with itsmandate, and to facilitate and coordinateimplementation of interventions prioritisedin the HIV and AIDS Business Plan.
To facilitate the response of the Directorates,each has appointed a focal point persondedicated to HIV and AIDS. The functionof the focal point is to support and advisethe Director in coordinating the responseof the Directorate. The Focal Point is the link
between the Directorate and the HIV andAIDS Unit. They provide, when necessaryand through the National AIDS Council, aday-to-day link between the Directorateand Member State sectors linked to theDirectorate, on HIV and AIDS issues.
A multisectoral HIV and AIDS TechnicalWorking Group (TWG) composed ofmembers of the HIV and AIDS Unit andDirectorate Focal Points, and chaired by theHIV and AIDS Manager, has beenestablished. The TWG works to a) establisheffective operational links betweenDirectorates and the Unit b) ensurecollaboration between Directorates and theUnit in implementing the Business Plan andthe SADC HIV and AIDS Programme ingeneral.
[ 14 ]
SADC HIV and AIDS Business Plan
4.2.2 Relationship between the HIVand AIDS Unit and other Units
The role of the existing units in theSecretariat is to support the Secretariat byproviding crosscutting services toDirectorates. The HIV and AIDS Unit is ina way different from other units in that ithas the task of leading the implementationof a specialised regional programme.Consequently, a bi-directional supportiverelationship has been put into place. TheHIV and AIDS Unit will require from theother units support similar to that renderedto Directorates; on the other hand the Unitwill have a supportive role for other unitsin their HIV and AIDS response roles.
SADC Units
1. Legal affairs2. Internal audit3. Information, communication,
technology and library services4. Statistics5. Public relations6. Administration7. Finance8. Gender Unit
4.2.3 Relationship between the Unitand the Member States
In the context of HIV and AIDS, all MemberStates have established structures that havenational mandates to lead, co-ordinate andimplement national responses to HIV andAIDS; a common structure in all SADCcountries is the National AIDS Council/Commission (NAC). Lines ofcommunication on HIV and AIDS mattersbetween the Secretariat and the countrylevel have been developed to allow for quickdecision-making and implementation in away that is commensurate with the urgencyand gravity of the AIDS epidemic in theregion. (See diagram on page 15.)
To facilitate effective regional collaborationa forum that brings together the SADC HIVand AIDS Unit staff and the Directors ofthe National AIDS Council Secretariats ofthe thirteen SADC countries, has also beenestablished. The role of this forum is to shareinformation and best practices; reviewprogress towards the development,harmonisation and implementation ofregional policies, guidelines andprogrammes; and other priority regionalresponse issues.
4.2.4 Relationship Between The UnitAnd Other Regional And InternationalStakeholders
The HIV and AIDS Unit intends to continueworking with bilateral and multilateralorganisations (such as UN agencies), as wellas civil society organisations including Non-Governmental Organisations (NGOs),Faith-based Organisations (FBO), academicinstitutions and business. Many of theseregional and international organisations arealready heavily involved in the response toHIV and AIDS in the region and the Unit isreviewing existing partnerships andstrengthening those that add value to theregion’s response, as well as establishingadditional partnerships. The choice of NGOsfor partnering depends on their regionalscope, compatibility of mandates with thoseof SADC and complementarity ofprogramme implementation.
An International Cooperating PartnersForum is soon to be established to facilitatecooperation and coordination and to ensureinformation sharing and maximisation ofresponse efforts in the region and scalingup interventions.
[ 15 ]
Chief Director
[DSPGPH]
SADC HIV &AIDS Unit
National AIDSCouncil/
Commission
SADC (Multisectoral)National Committee
(SNC)/Contact Person
National Sectors
SADCSECRETARIAT
COUNTRYLEVEL
Relationship between the SADC HIV Unit and Member States
[ 16 ]
SADC HIV and AIDS Business Plan
The HIV and AIDS Business Plan will befinanced from three different sources:Member States’ budgets, funds fromInternational Cooperating Partners forspecific projects and an HIV and AIDSTrust Fund.
Member States will allocate budgets for theimplementation of targeted initiatives,particularly at a national level. In addition,a set of Project Concept Notes has beendeveloped, based on the Business Plan andInternational Cooperating Partners who arekeen to support different intervention areascan select from a ‘menu’ of activities andprovide the necessary financial input.Finally, an HIV and AIDS Trust Fund is tobe set up to assist with the financing of othernecessary areas of intervention.
The Project Concept Notes provide factsheets of information about six differentproject areas, each of which covers anintervention area, as specified in theBusiness Plan.
i Harmonisation andDevelopment of Regional Policies onHIV and AIDS Prevention, Care,Support and Treatment.
Activities for this project include the reviewof prevention, care and support andtreatment policies adopted by individualMember States; Preparation of draft policieson prevention, care and support, andtreatment; Finalisation and adoption of acomprehensive regional policy.
ii Capacity Building and HIV andAIDS Mainstreaming into SADC’sDirectorates Mandates, Policies andProgrammes.
The activities under this project will takeplace in three phases, namely: HIV andAIDS Mainstreaming Needs Assessment;Development of HIV and AIDSMainstreaming Guidelines; and, CapacityBuilding of Key Personnel through initialtraining and on-the-job mentoring. Theproject will also aim at reviewing existingpublic sector human resources practices inthe region and internationally in order todevelop guidelines to assist Member Stateswith the HIV crisis affecting their civilservice.
iii SADC Secretariat HIV and AIDSWorkplace Programme
The activities under this project willculminate in the development of an HIVand AIDS Workplace Policy which aims toeducate the workforce enough to preventnew infections, destigmatise the workplaceenvironment and develop a strong referralsystem to health and social service facilities.
iv Scaling-Up Cross BorderInitiatives
The objective of this project is to reduce thespread of HIV due to the increase in mobilitywithin transport corridors. The activitieswill include the involvement of transportcompanies in designing programmestargeted at truck drivers before they arriveat border posts and will include thecommunities around border posts. Therewill also be a consultative process set upwith the government stakeholders thatmanage the border posts.
5.5.5.5.5. Financing the Business PlanFinancing the Business PlanFinancing the Business PlanFinancing the Business PlanFinancing the Business Plan
[ 17 ]
v Facilitation of TechnicalResponse, Resource Networks,Collaboration and Coordination
This project will allow for thedocumentation of best practice in HIV andAIDS in Member States and theircompilation into a data base which can thenbe disseminated to all Member States.
Budget per Intervention Area
Project Concept Note Indicative Budget
US$
Policy development and harmonization of 1,977,000HIV and AIDS in the SADC Region
Capacity Building and HIV and AIDS 3,319,000Mainstreaming
SADC Secretariat HIV and AIDS Workplace 220,000Programme
Scaling-up Cross-Border Initiatives 11,000,000
Facilitation of Technical Response, Resource 2,816,000Networks, Collaboration and Coordination
M&E of Global and Regional Commitments 3,438,900
TOTAL 22,770,900
vi Monitoring and Evaluation Planof Regional and Global Commitments
The objective of this project is to monitordeliverables from the SADC HIV and AIDSprojects and national government’sprogress in their development efforts, andin the fight against HIV and AIDS abidingto global indicators. This will be achievedthrough the design and implementation ofa Monitoring and Evaluation Plan.
[ 18 ]
SADC HIV and AIDS Business Plan
The successful implementation of theBusiness Plan is dependent on all the keystakeholders playing their roles. Theactivities and timeframes proposed assumethe full participation of all players.
Annual plans will be developed, based onthe Five-year Business Plan, in order to
6.6.6.6.6. Monitoring the Business PlanMonitoring the Business PlanMonitoring the Business PlanMonitoring the Business PlanMonitoring the Business Plan
ensure rapid and effective implementationof the five key target areas.
At the regional level, the SADC Secretariatwill facilitate policies and coordination, aswell as collaborating with regional CivilSociety Organisations (CSOs) and theprivate sector. Member States, at the
Technical and Political Oversight of the SADC HIV and AIDS Programme
Council ofMinisters
IntegratedCommittee of
Ministers (ICM)
TECHNICAL ADVISORYCOMMITTEE
(Multisectoral & MSRepresentation)
CHIEF DIRECTOR ANDDIRECTORATES
TWGHIV & AIDS
UNIT
NACForum(NACs& theUnit)
ICPForum(ICPs& theUnit)
NGOForum(NGOs& theUnit)
PrivateSectorForum
(Businesses& theUnit)
SUMMIT
POLITICALLEVELS
TECHNICALLEVELS
[ 19 ]
national level will provide the necessaryinput for coordination and policyharmonisation, and implement programmesthrough government and national CSOs.International Cooperating Partners (ICPs)will provide technical and financialassistance to ensure the Business Plan isachievable.
The SADC Technical Advisory Committeeon HIV and AIDS will oversee theimplementation of the Business Plan. TheCommittee, which reports through theSADC Secretariat to the IntegratedCommittee of Ministries (ICM) is chaired bythe Chief Director of the SADC Secretariat.Other members of the committee includerepresentation of the Member States(troika), the ICP representatives, the UNrepresentatives and representatives of theCivil Society Organisations, incorporatingfaith-based organisations, the youth, genderand people living with HIV and AIDS.Political oversight of the Business Plan willtake place through the Council of Ministers.
[ 20 ]
SADC HIV and AIDS Business Plan
Annex 1Annex 1Annex 1Annex 1Annex 1
SADCSADCSADCSADCSADCFiveFiveFiveFiveFiveYearYearYearYearYearPlan forPlan forPlan forPlan forPlan forHIV andHIV andHIV andHIV andHIV andAIDSAIDSAIDSAIDSAIDS
20052005200520052005 - - - - -
20092009200920092009
HIV andAIDSDetailed Five-Year RISDPOperationalisationPlan
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
ns20
0520
0620
0720
0820
09In
terv
enti
on a
rea
1 P
olic
y D
evel
opm
ent
and
Har
mon
isat
ion
Out
put
1.1
Polic
ies
for
prev
entio
n ha
rmon
ised
1.1.
1D
evel
op a
ndha
rmon
ise
regi
onal
guid
elin
es f
or B
ehav
iour
Cha
nge
Com
mun
icat
ion
(BC
C)
prog
ram
mes
incl
udin
g ro
le o
f cu
ltura
lan
d sp
ortin
g in
dust
ries
inH
IV p
reve
ntio
n
Regi
onal
BC
C g
uide
lines
tha
tin
clud
e ro
le o
f cu
ltura
l and
spor
ting
indu
stri
es
deve
lope
dan
d ad
opte
d by
end
of
2006
Dat
abas
e of
BC
C p
rogr
ams
esta
blis
hed
At
leas
t 70
% i
mpl
emen
tatio
nof
gui
delin
es b
y M
S by
end
2008
Faci
litat
ede
velo
pmen
tan
d ad
optio
n
Con
trib
ute
toth
ede
velo
pmen
tan
dim
plem
ent
the
guid
elin
es
Prov
ide
tech
nica
l an
dfin
anci
alsu
ppor
t
-
Ass
essm
ent
toid
entif
y th
ecu
ltura
lpr
actic
es t
hat
fuel
the
spr
ead
of H
IVin
fect
ion.
Esta
blis
hda
taba
se o
fBC
Cpr
ogra
mm
es
Revi
ew B
CC
prog
ram
mes
in th
e re
gion
Dev
elop
harm
onis
edgu
idel
ines
and
subm
itfo
r ad
optio
n
Supp
ort
and
mon
itor
impl
emen
tatio
n
Revi
ewim
plem
enta
tion
1.1.
2D
evel
op g
uide
lines
for
prog
ram
min
g H
IV a
ndA
IDS
in t
he u
nifo
rmed
for
cesN
atio
nal
stra
tegi
es f
or t
heun
iform
ed f
orce
s re
view
ed b
yen
d of
200
6Re
gion
al g
uide
lines
dev
elop
edan
d ad
opte
d by
200
7A
t le
ast
50%
of
MS
impl
emen
ting
guid
elin
es b
y20
08
Coo
rdin
ate
the
revi
ewin
gan
d fa
cilit
ate
deve
lopm
ent
and
adop
tion
Con
trib
ute,
adop
t an
dim
plem
ent
Prov
ide
tech
nica
l an
dfin
anci
alsu
ppor
t -
Rev
iew
MS
HIV
& A
IDS
prog
ram
mes
for
the
unifo
rmed
forc
es
Dev
elop
men
tan
dad
optio
n of
guid
elin
esan
d to
ol k
its
Supp
ort
and
mon
itor
impl
emen
tatio
n
Revi
ewim
plem
enta
tion
1.1.
3D
evel
oppr
ogra
mm
es a
nd g
uide
lines
for
spec
ial H
IV p
reve
ntio
nan
d vu
lner
abili
ty r
educ
tion
targ
eted
at
pre-
adol
esce
nts,
youn
g pe
ople
and
wom
en
Leve
l of
vuln
erab
ility
am
ong
pre-
adol
esce
nts,
you
ngpe
ople
and
wom
ende
term
ined
by
2004
Pilo
t pr
ogra
mm
eim
plem
ente
d in
at
leas
t 4
MS
by 2
006
70%
MS
impl
emen
ting
life
skill
s pr
ogra
mm
es f
orpr
eado
lesc
ents
and
you
ngpe
ople
in a
nd o
ut o
f sc
hool
by 2
008
70 %
of
MS
impl
emen
ting
spec
ial
prog
ram
mes
for
wom
en b
y 20
08
Coo
rdin
ate
the
asse
ssm
ent
and
faci
litat
ede
velo
pmen
tan
d ad
optio
nof
gui
delin
es
Con
trib
ute,
adop
t an
dim
plem
ent
Fina
ncia
l /
reso
urce
cont
ribu
tion
Prov
ide
tech
nica
l an
dfin
anci
alsu
ppor
t
Ass
ess
leve
lo f vu
lner
abili
tyin
MS
Dev
elop
api
lot
fram
ew
ork
for
resp
onse
Supp
ort
impl
emen
tatio
nof
pilo
t→
Revi
ewim
plem
enta
tion
and
deve
lop,
harm
onis
ean
d ad
opt
regi
onal
guid
elin
es f
orsc
ale-
up
Impl
emen
tha
rmon
ized
regi
onal
guid
elin
es
[ 21 ]
1.1.
4 R
evie
w a
nd h
arm
onis
egu
idel
ines
for
PM
TCT
Regi
onal
PM
TCT
guid
elin
esha
rmon
ised
and
ado
pted
by
end
of 2
005
At
leas
t 70
% i
mpl
emen
tatio
nof
gui
delin
es b
y M
S by
end
2008
Faci
litat
eha
rmon
izat
ion
& impl
emen
tatio
n
Con
trib
ute,
adop
t an
dim
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
-R
evie
w,
harm
onis
ean
d ad
opt
guid
elin
es f
orPM
TCT
Supp
ort
trai
ning
and
impl
emen
tatio
nMon
itor
impl
emen
tatio
nRevi
ewim
plem
enta
tion
1.1.
5 D
evel
op S
AD
Cpr
ogra
mm
es f
or r
educ
ing
vuln
erab
ility
to th
e ri
sk o
foc
cupa
tiona
l ex
posu
re t
oH
IV in
fect
ion
at t
hew
orkp
lace
in
diff
eren
t se
ctor
s
Stat
e of
occ
upat
iona
lex
posu
re t
o H
IV in
fect
ion
amon
g he
alth
wor
kers
dete
rmin
ed b
y 20
05Pi
lot
prog
ram
me
impl
emen
ted
amon
g he
alth
wor
kers
by
2006
Regi
onal
gui
delin
es fo
r al
lse
ctor
s de
velo
ped
and
adop
ted
by 2
007
70 %
of
MS
impl
emen
ting
by20
08
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute,
adop
t &
impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
Ass
ess
leve
l of
occu
pati
onal
risk
am
ong
heal
th w
orke
rs
-
Dev
elop
and
pilo
tgu
idel
ines
amon
g he
alth
wor
kers
Impl
emen
tpi
lot
Revi
ew p
ilot
Revi
ew p
ilot,
deve
lop
and
harm
onis
ere
gion
algu
idel
ines
for
all
sect
ors
Supp
ort
and
mon
itor
impl
emen
tatio
nIn
all
sect
ors
1.1.
6 R
evio
w a
ndha
rmon
ise
regi
onal
guid
elin
es f
or S
TI/H
IV a
ndbe
havi
oura
l su
rvei
llanc
esy
stem
s
Nat
iona
l gui
delin
es r
evie
wed
by 2
005
Regi
onal
gui
delin
esde
velo
ped
and
adop
ted
byen
d of
200
6A
t le
ast
70%
of
MS
impl
emen
ting
harm
onis
edsu
rvei
llanc
e gu
idel
ines
by
end
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute,
adop
t &
impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
Ass
ess
exis
ting
guid
elin
es in
MS
Revi
sion
and
stan
dard
isat
ion
of g
uide
lines
Supp
ort
&m
onito
rim
plem
entat
ion
-Re
view
impl
emen
tatio
n
1.1.
7 D
evel
op a
nd h
arm
onis
ere
gion
al g
uide
lines
for
elim
inat
ing
HIV
and
AID
Sre
late
d st
igm
a an
ddi
scri
min
atio
n
Leve
l of
HIV
and
AID
Sre
late
d st
igm
a an
ddi
scri
min
atio
n in
MS
dete
rmin
ed b
y 20
05Fr
amew
ork
for
resp
ondi
ng t
ode
velo
ped
by 2
005
Fram
ewor
k pi
lote
d by
200
5G
uide
lines
for
sca
le-u
pde
velo
ped
and
adop
ted
by20
06
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute,
adop
t &
impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
Ass
ess
leve
l of
stig
ma
&di
scri
min
atio
nin
MS
Dev
elop
and
pilo
t fr
ame
wor
k fo
rre
spon
se
Pilo
tfr
amew
ork
Dev
elop
regi
onal
guid
elin
esan
d ad
opt
Supp
ort
impl
emen
tatio
nof
gui
delin
es
→
[ 22 ]
SADC HIV and AIDS Business Plan
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
ns20
0520
0620
0720
0820
09
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.2
Pol
icie
s fo
r C
are
and
Supp
ort
harm
onis
ed
1.2.
1 R
evie
w a
nd h
arm
onis
egu
idel
ines
for
com
preh
ensi
veca
re a
nd s
uppo
rt i
nclu
ding
nutr
ition
for
HIV
and
AID
Spo
pula
tion
Nat
iona
l gui
delin
es r
evie
wed
by 2
005
Regi
onal
gui
delin
es f
or c
are
& s
uppo
rt d
evel
oped
and
adop
ted
by e
nd o
f 20
06A
t le
ast
70%
im
plem
enta
tion
of
harm
oniz
ed g
uide
lines
by
MS
by e
nd 2
008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
and
coor
dina
te t
hepr
oces
s
Con
trib
ute,
adop
t an
dim
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
-
Ass
ess
inte
rven
tions
inM
S
Dev
elop
regi
onal
guid
elin
esan
d ad
opt
Supp
ort
and
mon
itor
impl
emen
tatio
nof
gui
delin
es
Revi
ewim
plem
enta
tion
1.2.
2Re
view
and
har
mon
ise
polic
ies
and
pro
gram
s fo
rO
VC
’s
Nat
iona
l pol
icie
s re
view
ed b
y20
05Re
gion
al p
olic
y fo
r O
VC
sde
velo
ped
and
adop
ted
byen
d of
200
6A
t le
ast
70%
im
plem
enta
tion
of th
ose
polic
es b
y M
S by
end
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Coo
rdin
ate
pilo
tin
itiat
ives
Con
trib
ute,
adop
t an
dim
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
-A
sses
s th
eO
VC
situ
atio
n&
inte
rven
tions
in M
SD
evel
op a
fram
ewor
k fo
rre
spon
se
Dev
elop
regi
onal
guid
elin
esan
d ad
opt
Pilo
tin
itiat
ives
Supp
ort
impl
emen
tatio
nof
gui
delin
es→
1.2.
3 D
evel
op a
nd h
arm
onis
egu
idel
ines
for
reg
iona
l bul
kpr
ocur
emen
t of
dru
gs,
med
ical
sup
plie
s an
d te
stin
gre
agen
ts
Nat
iona
l gui
delin
es r
evie
wed
by 2
005
Regi
onal
gui
delin
es f
orac
cess
ing
affo
rdab
le p
rice
des
sent
ial
drug
s fo
r tr
eatm
ent
& p
roph
ylax
is o
fop
port
unis
tic i
nfec
tions
,A
RV
s te
stin
g re
agen
tsde
velo
ped
and
adop
ted
byen
d of
200
6A
t le
ast
50%
of
MS
have
acce
ss t
o bu
lk p
urch
asin
g by
end
2008
Faci
litat
e an
dco
ordi
nate
deve
lopm
ent
& impl
emen
tatio
n
Con
trib
ute
toth
e pr
oces
s,ad
opt
and
impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
-A
sses
s dr
ugpr
ocur
emen
tpo
licie
s an
dpr
actic
es in
MS
Revi
ewpo
licie
s,de
velo
p an
dad
opt
regi
onal
guid
elin
es
Supp
ort
impl
emen
tatio
nof
gui
delin
es
→
1.2.
4 Fi
nalis
e ha
rmon
izat
ion
of g
uide
lines
for
VC
TRe
gion
al V
CT
guid
elin
esde
velo
ped
and
adop
ted
byen
d of
200
5A
t le
ast
70%
im
plem
enta
tion
of g
uide
lines
by
MS
by e
nd20
08
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute,
adop
t an
dim
plem
ent
Stre
ngth
enth
e he
alth
syst
ems
and
netw
ork
Fund
ing
and
tech
nica
lsu
ppor
t
-Re
view
and
deve
lop
regi
onal
guid
elin
es
Supp
ort
trai
ning
and
impl
emen
tatio
n→
Revi
ewim
plem
entat
ion
[ 23 ]
1.3.
1Re
view
and
harm
oniz
e pr
otoc
ols
for
STI
trea
tmen
t
Nat
iona
l gui
delin
es r
evie
wed
by 2
005
Regi
onal
Pro
toco
l de
velo
ped
and
adop
ted
by e
nd o
f 20
07
At
leas
t 70
% i
mpl
emen
tatio
nof
gui
delin
es b
y M
S by
end
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
toth
e pr
oces
san
d ad
opt
Fund
ing
and
tech
nica
lsu
ppor
t
Revi
ewna
tiona
lpr
otoc
ols
→ Dev
elop
Reg
iona
lPr
otoc
ol
Supp
ort
impl
emen
tatio
nof
gui
delin
es
Supp
ort
impl
emen
tatio
nof
gui
delin
es
Revi
ewim
plem
enta
tion
1.3.
.2Re
view
and
harm
oniz
e gu
idel
ines
for
trea
tmen
t of
HIV
and
AID
S,TB
and
oth
er o
ppor
tuni
stic
infe
ctio
ns
Nat
iona
l gui
delin
es r
evie
wed
by 2
006
Regi
onal
gui
delin
esde
velo
ped
and
adop
ted
by20
07
At
leas
t 60
% i
mpl
emen
tatio
nby
200
8
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
toth
e pr
oces
sFu
ndin
g an
dte
chni
cal
supp
ort
-Re
view
natio
nal
guid
elin
es
Dev
elop
and
adop
tR
egio
nal
guid
elin
es
Supp
ort
impl
emen
tatio
nRe
view
impl
emen
tatio
n
1.3.
3D
evel
op, h
arm
onis
ean
d fa
cilit
ate
impl
emen
tatio
nof
reg
iona
l gui
delin
es f
or u
seof
indi
geno
us k
now
ledg
esy
stem
s in
dev
elop
ing
and
prod
ucin
g al
tern
ativ
e dr
ugs
and
med
icin
es f
or t
reat
men
tof
com
mon
dis
ease
sin
clud
ing
HIV
and
AID
S
Exis
ting
natio
nal
guid
elin
esfo
r us
e of
indi
geno
uskn
owle
dge
in c
are
and
trea
tmen
t a
nd
the
rele
vant
know
ledg
e an
d pr
actic
ing
cent
res
dete
rmin
ed b
y 20
05
Regi
onal
gui
delin
es f
orco
llabo
ratin
g in
the
use
of
indi
geno
us k
now
ledg
esy
stem
s in
med
ical
res
earc
han
d de
velo
pmen
t of
dru
gsan
d m
edic
ines
ado
pted
by
2007
Faci
litat
e an
dco
ordi
nate
proc
ess
Prov
ide
info
rmat
ion,
inst
itutio
n,te
chni
cal
and
stru
ctur
alre
sour
ces
and
impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
-A
sses
s an
dre
view
exi
stin
gin
dige
nous
know
ledg
esy
stem
s an
dpr
actic
es in
MS
and
est
ablis
hda
taba
se o
fpr
actis
ing
and
know
ledg
eabl
ein
stitu
tions
in
MS
and
othe
rre
gion
s an
dth
eir
need
s
→ Dev
elop
and
adop
tgu
idel
ines
for
regi
onal
rese
arch
,dr
ug t
estin
gan
dco
oper
atio
n
Esta
blis
hre
gion
alm
echa
nism
sfo
rpr
oduc
tion
,re
gula
tion
and
netw
orki
ng o
nlo
cal
prod
uctio
n of
drug
s &
med
icin
es
Iden
tify
and
reso
urce
iden
tifie
din
stitu
tions
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
ns20
0520
0620
0720
0820
09
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.3
Pol
icie
s fo
r Tr
eatm
ent
harm
onis
ed
[ 24 ]
SADC HIV and AIDS Business Plan
Cen
tres
of
exce
llenc
e fo
rre
gion
al r
esea
rch,
tri
als
and
test
ing
of d
rugs
and
med
icin
es u
sing
ind
igen
ous
know
ledg
e sy
stem
ses
tabl
ishe
d or
ide
ntifi
ed.
At
leas
t on
e ce
ntre
of
exce
llenc
e fo
r re
gion
alre
sear
ch, t
rial
s an
d te
stin
gof
dru
gs a
nd m
edic
ines
reso
urce
d an
dim
plem
entin
g by
200
8
1.3.
.4Re
view
and
harm
onis
e gu
idel
ines
for
heal
th d
eliv
ery
syst
ems
taki
ng i
nto
cons
ider
atio
n,H
IV a
nd A
IDS
mai
nstr
eam
ing
and
roll-
out
of A
RV
tre
atm
ent
Nat
iona
l gu
idel
ines
rev
iew
edby
200
6
Regi
onal
gui
delin
esde
velo
ped
and
adop
ted
by20
07
At
leas
t 40
% i
mpl
emen
tatio
nby
200
8
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
toth
e pr
oces
sFu
ndin
g an
dte
chni
cal
supp
ort
-Re
view
guid
elin
es o
fM
S
Dev
elop
and
adop
tgu
idel
ines
Supp
ort
impl
emen
tatio
nof
gui
delin
es
Revi
ewim
plem
enta
tion
[ 25 ]
1.4.
1D
evel
op a
ndha
rmon
ise
guid
elin
es a
ndpr
ogra
mm
e in
terv
entio
ns in
high
tra
nsm
issi
on a
reas
like
high
act
ivity
are
as, c
ross
bord
er s
ites
and
high
tra
ffic
site
s in
the
con
text
of
SAD
Cpr
otoc
ol o
n th
e fr
eem
ovem
ent
of p
eopl
e
Map
ping
of
mig
ratio
npa
ttern
s in
ter
ms
of s
ourc
e,an
d re
ceiv
ing
com
mun
ities
,m
igra
nt c
hara
cter
istic
s ,
caus
es t
hrou
gh e
xist
ing
data
and
rese
arch
com
plet
ed b
y20
07C
ross
Bor
der
Pilo
t Pr
ojec
tsC
ompl
eted
by
2006
Gui
delin
es d
evel
oped
by
end
of 2
007
60%
MS
impl
emen
t gu
idel
ines
by 2
008
Coo
rdin
ate
Pilo
tsin
itiat
ives
.Fa
cilit
ate
the
deve
lopm
ent
and
adop
tion
of t
hegu
idel
ines
Con
trib
ute
togu
idel
ines
Impl
emen
tth
e pi
lots
Tech
nica
l an
dFi
nanc
ial
supp
ort
Pilo
ting
ofPr
ojec
tsPi
lotin
g of
Proj
ects
Dev
elop
men
tan
dad
optio
n of
regi
onal
Gui
delin
es
Supp
ort
and
mon
itor
expa
nsio
n of
impl
emen
tatio
n
Revi
ewim
plem
enta
tion
1.4.
2D
evel
op a
ndha
rmon
ise
guid
elin
es f
orad
dres
sing
hea
lth i
ssue
s fo
rdi
spla
ced
and
mob
ilepo
pula
tions
inc
ludi
ng i
llega
lim
mig
rant
s fo
cusi
ng o
ntr
eatm
ent
cont
inui
ty, h
ealth
serv
ices
, mes
sage
s, d
rug
labe
lling
and
info
rmat
ion
Ass
essm
ent
repo
rt o
f he
alth
need
s co
mpl
eted
by
2006
Gui
delin
es d
evel
oped
and
adop
ted
by 2
006
40 %
of
MS
impl
emen
ting
the
Gui
delin
es b
y 20
08Fa
cilit
ate
the
asse
ssm
ent.
Faci
litat
e th
ede
velo
pmen
tan
d ad
optio
nof
the
guid
elin
es.
Prov
ide
inpu
ts t
o th
est
udie
s I
mpl
emen
tth
egu
idel
ines
Tech
nica
l an
dpr
ofes
sion
alsu
ppor
t
-N
eeds
asse
ssm
ent
Dev
elop
men
tan
dad
optio
n of
guid
elin
es
Impl
emen
tatio
nof
Gui
delin
esRe
view
impl
emen
tatio
n
1.4.
3H
arm
onis
epr
oced
ures
, reg
ulat
ions
and
law
s fo
r tr
ansi
t at
bor
ders
and
port
s
Repo
rt o
f th
e cu
rren
tpr
oced
ures
and
rul
es i
n SA
DC
com
plet
ed b
y 20
06H
arm
oniz
ed p
roce
dure
s by
2007
40%
of
MS
impl
emen
ting
harm
oniz
ed p
roce
dure
s by
2008
Faci
litat
ere
view
of
guid
elin
esFa
cilit
ate
the
deve
lopm
ent
and
adop
tion
of p
roce
dure
s
Prov
ide
info
rmat
ion
Impl
emen
tth
eha
rmon
ized
proc
edur
es
Tech
nica
l an
dFi
nanc
ial
supp
ort
-Re
view
of
proc
edur
esD
evel
opm
ent
of harm
oniz
edpr
oced
ures
Supp
ort
and
Mon
itor
impl
emen
tatio
n
Revi
ewim
plem
enta
tion
1.4.
4M
onito
r A
RV
trea
tmen
t re
late
d to
mig
rant
san
d pr
omot
e eq
uity
in
trea
tmen
t ac
cess
acr
oss
coun
trie
s
Mon
itori
ng t
ools
est
ablis
hed
by 2
006
Agr
eem
ents
rea
ched
bet
wee
nm
embe
r st
ates
on
mig
rant
str
eatm
ent,
mon
itori
ng a
ndre
port
ing
proc
edur
es b
y 20
05
Faci
litat
e th
ede
velo
pmen
tan
dim
plem
enta
tion
and
coor
dina
tion
proc
ess
Real
ign
mon
itori
ngto
ols
with
natio
nal
guid
elin
esan
dfa
cilit
atio
nco
untr
y le
vel
impl
emen
tatio
n
Prov
ide
tech
nica
lsu
ppor
t an
dfu
ndin
g
Reg
iona
lco
nsul
tati
ons
to e
stab
lish
aco
mm
onun
ders
tand
ing
Dev
elop
men
tan
d ad
optio
nof
mon
itori
ngto
ols
Cou
ntry
leve
lda
ta b
ases
esta
blis
hed
and
func
tiona
l
Impl
emen
tation
and
shar
ing
of info
rmat
ion
betw
een
coun
trie
s
Revi
ew a
ndim
plem
enta
tion
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
nsM
ajor
Act
ions
M
ajor
Act
ions
Maj
or A
ctio
ns
Maj
or A
ctio
ns20
0520
0620
0720
0820
09
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.4
Pol
icy
on H
IV a
nd A
IDS
and
mig
rant
/ m
obile
and
dis
plac
ed p
opul
atio
n de
velo
ped
and
harm
onis
ed.
[ 26 ]
SADC HIV and AIDS Business Plan
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.5
Reg
iona
l pol
icie
s an
d pl
ans
to s
usta
in in
crea
sing
hum
an r
esou
rce
(HR)
nee
ds a
s a
cons
eque
nce
of H
IV a
nd A
IDS
deve
lope
d an
d ha
rmon
ized
in
SAD
C
1.5.
1 D
evel
op a
ndha
rmon
ise
a re
gion
al M
ulti-
Sect
oral
HR
and
HIV
and
AID
S po
licy
for
educ
atio
nan
d tr
aini
ng, r
eten
tion,
saf
ew
ork
envi
ronm
ents
in th
epu
blic
ser
vice
, an
d su
ppor
tth
eir
incl
usio
n in
the
coun
try
coor
dina
ting
mec
hani
sms,
in H
R bi
late
ral f
undi
ng a
ndin
pub
lic s
ecto
r ex
pend
iture
nego
tiatio
ns w
ith m
ulti-
late
ral
agen
cies
i.e
. IM
F/W
orld
Ban
k
Reg
iona
l SA
DC
Mul
ti-Se
ctor
al H
R an
d H
IV &
AID
S po
licy
for
the
publ
icse
rvic
e de
velo
ped
and
adop
ted
by e
nd 2
006
Reg
iona
l m
ulti-
Sect
oral
HR
and
HIV
& A
IDS
polic
yim
plem
entin
g gu
idel
ines
deve
lope
d an
d ad
opte
d by
2007
60%
of
MS
impl
emen
ting
HR
and
HIV
& A
IDS
Polic
y in
at
leas
t th
ree
of t
he w
orst
affe
cted
pub
lic s
ervi
cese
ctor
s by
200
8
Coo
rdin
ate
and
guid
eC
ontr
ibut
e to
form
ulat
ion
and
adop
t
Fund
ing
and
tech
nica
lsu
ppor
t
-C
ompi
le s
ecto
rsp
ecif
icin
form
atio
n on
HIV
and
AID
Sin
duce
d st
aff
attr
ition
Dev
elop
polic
y an
dpr
esen
t fo
rad
opti
on
Dev
elop
polic
yim
plem
enta
tion
guid
elin
es
Supp
ort
and
mon
itor
impl
emen
tatio
n
[ 27 ]
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.6
A
cor
pora
te p
olic
y on
HIV
and
AID
S at
the
SA
DC
Sec
reta
riat
and
im
plem
ente
d
1.6.
1D
evel
op a
com
preh
ensi
ve c
orpo
rate
polic
y on
HIV
and
AID
S an
dim
plem
enta
tion
guid
elin
esfo
r th
e SA
DC
Sec
reta
riat
HIV
and
AID
S co
rpor
ate
polic
y de
velo
ped
and
appr
oved
by
end
2005
Impl
emen
tatio
n gu
idel
ines
deve
lope
d an
d ad
opte
d by
2005
Dev
elop
and
impl
emen
tA
ppro
veFu
ndin
g an
dte
chni
cal
supp
ort
Dev
elop
polic
yM
S A
ppro
vepo
licy
Dev
elop
and
Impl
emen
tgu
idel
ines
Impl
emen
t&
mon
itor
Revi
ewim
plem
enta
tion
[ 28 ]
SADC HIV and AIDS Business Plan
1.7.
1D
evel
op a
ndha
rmon
ise
HIV
and
AID
Spo
licy
for
Food
, Agr
icul
ture
and
Nat
ural
Res
ourc
es(F
AN
R)
sect
or
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 1
Pol
icy
Dev
elop
men
t an
d H
arm
onis
atio
n
Out
put
1.7
Sect
oral
pol
icie
s on
HIV
and
AID
S de
velo
ped
and
harm
oniz
ed i
n al
l SA
DC
sec
tors
(FA
NR,
HSD
, I&
S, T
IFI)
Impa
ct o
f A
IDS
onA
gric
ultu
re d
eter
min
ed b
y20
05Re
gion
al p
olic
y on
HIV
and
AID
S fo
r ag
ricu
lture
and
foo
dse
curi
ty
deve
lope
d an
dad
opte
d by
200
640
% o
f M
S im
plem
entin
g by
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
tode
velo
pmen
t;ad
opt
&im
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
Con
duct
HIV
and
AID
Sim
pact
asse
ssm
ent
→D
evel
oppo
licy
and
subm
it fo
rad
opti
on
Mon
itor
impl
emen
tatio
n→
1.7.
2D
evel
op a
ndha
rmon
ise
HIV
and
AID
Spo
licy
for
Hum
an S
ocia
lD
evel
opm
ent
and
Spec
ial
Prog
ram
mes
(H
SD)
sect
or
Regi
onal
Pol
icy
on H
IV a
ndA
IDS
in H
SD s
ecto
rde
velo
ped
and
adop
ted
by20
0730
% o
f M
S im
plem
entin
g by
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
tode
velo
pmen
t;ad
opt
&im
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t-
Ass
ess
HIV
and
AID
Sse
ctor
al p
olic
yre
view
nee
ds
Faci
litat
epo
licy
revi
ew,
harm
oniz
atio
nan
dad
opti
on
→
Mon
itor
impl
emen
tatio
n
1.7.
3D
evel
op a
ndha
rmon
ise
HIV
and
AID
Spo
licy
for
Infr
astr
uctu
re a
ndSe
rvic
es (
IS)
sect
or
Regi
onal
Pol
icy
on H
IV a
ndA
IDS
in I
S se
ctor
dev
elop
edan
d ad
opte
d by
200
7 3
0% o
fM
S im
plem
entin
g by
200
8
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
tode
velo
pmen
t;ad
opt
&im
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t -
Ass
ess
HIV
and
AID
Sse
ctor
al p
olic
yre
view
nee
ds
Faci
litat
epo
licy
revi
ew,
harm
oniz
atio
nan
dad
opti
on
→
Mon
itor
impl
emen
tatio
n
1.7.
4 D
evel
op a
nd h
arm
onis
eH
IV a
nd A
IDS
polic
y fo
rTr
ade,
Fin
ance
and
Inve
stm
ent
(TIF
I) s
ecto
r
Regi
onal
Pol
icy
on H
IV a
ndA
IDS
in T
IFI
sect
orde
velo
ped
and
adop
ted
by20
0730
% o
f M
S im
plem
entin
g by
2008
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
tode
velo
pmen
t;ad
opt
&im
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t-
Ass
ess
HIV
and
AID
Sse
ctor
al p
olic
yre
view
nee
ds
Faci
litat
epo
licy
revi
ew,
harm
oniz
atio
nan
d ad
optio
n→
Mon
itor
impl
emen
tatio
n
[ 29 ]
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 2
Cap
acity
Bui
ldin
g an
d M
ains
trea
min
g H
IV a
nd A
IDS
into
all
SAD
C p
olic
ies
and
prog
ram
mes
Out
put
2.1
Inte
grat
ion
of H
IV a
nd A
IDS
in a
ll po
licie
s an
d pr
ogra
mm
es o
f SA
DC
agr
eed
2.1.
1St
reng
then
cap
acity
of S
ecre
tari
at t
o in
tegr
ate
and
faci
litat
e im
plem
enta
tion
ofH
IV a
nd A
IDS
in a
ll se
ctor
sof
SA
DC
Pro
gram
me
All
Dir
ecto
rate
s an
d U
nits
initi
ate
the
inte
grat
ion
of H
IVan
d A
IDS
in t
heir
prog
ram
mes
by
end
2005
HIV
and
AID
SM
ains
trea
med
in e
very
prog
ram
me
in a
llD
irec
tora
tes
by e
nd o
f 20
08.
Faci
litat
e an
dco
ordi
nate
Con
trib
ute
and
com
mun
icat
eto
sec
tors
Fund
ing
and
tech
nica
lsu
ppor
t
Esta
blis
h H
IV&
AID
S U
nit
Def
ine
prog
ram
mes
and
need
sR
ecru
itPr
ogra
mm
eM
anag
er
Faci
litat
ede
velo
pmen
t of
guid
elin
es f
orm
ains
trea
min
gFa
cilit
ate
trai
ning
on
mai
nstr
eam
ing
at S
ecre
tari
atR
ecru
itre
quir
ed s
taff
Supp
ort
and
mon
itor
impl
emen
tatio
n
Revi
ewim
plem
entat
ion
2.1.
2Su
ppor
tm
ains
trea
min
g H
IV a
ndA
IDS
in a
ll se
ctor
s of
SA
DC
at M
S le
vel
Stan
dard
gui
delin
es f
orm
ains
trea
min
g H
IV a
ndA
IDS
in a
ll de
velo
pmen
tse
ctor
s de
velo
ped
and
adop
ted
by M
S by
200
7N
umbe
r of
sec
tors
in M
Ssu
ppor
ted
in H
IV a
nd A
IDS
Mai
nstr
eam
ing
by 2
007.
Faci
litat
e an
dco
ordi
nate
Con
trib
ute
and
adop
tFu
ndin
g an
dte
chni
cal
supp
ort
-
Faci
litat
ede
velo
pmen
tof
gui
delin
esRe
view
and
Har
mon
isat
ion
of g
loba
lm
ains
trea
min
ggu
idel
ines
MS
adop
tgu
idel
ines
Supp
ort
and
mon
itor
impl
emen
tatio
n
Revi
ewim
plem
enta
tion
[ 30 ]
SADC HIV and AIDS Business Plan
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 2
Cap
acity
Bui
ldin
g an
d M
ains
trea
min
g H
IV a
nd A
IDS
into
all
SAD
C p
olic
ies
and
prog
ram
mes
Out
put
2.2
Mod
els
of i
nteg
ratin
g H
IV a
nd A
IDS
pilo
ted
2.2.
1D
evel
op a
SA
DC
mod
el
to a
ssis
t ch
ildre
naf
fect
ed b
y th
e ep
idem
ic t
ore
mai
n in
sch
ool t
hrou
gh“C
ircl
es o
f Su
ppor
t”
Cou
ntry
Spe
cific
mod
els
ofSu
ppor
t D
evel
oped
by
2004
Pilo
t Pr
ogra
mm
esim
plem
ente
d by
200
5M
odel
s Re
view
ed a
ndRe
gion
al M
odel
dev
elop
edan
d im
plem
ente
d by
200
6
Faci
litat
e an
dco
ordi
nate
Dev
elop
and
impl
emen
tm
odel
s
Fund
ing
and
tech
nica
lsu
ppor
t
Dev
elop
Cou
ntry
Spec
ific
Mod
els
Pilo
ting
Prog
ram
sD
evel
op a
ndad
opt
regi
onal
Mod
el
Mon
itor
Impl
emen
tat-
ion
Revi
ewim
plem
enta
tion
2.2.
2D
evel
op a
mod
el f
orre
duci
ng t
he v
ulne
rabi
lity
oftr
ansp
ort
wor
kers
to
HIV
infe
ctio
n th
roug
h a
mul
ti-co
untr
y tr
ansp
ort
initi
ativ
e.
Prog
ram
s fo
r Tr
ansp
ort
wor
ks d
evel
oped
by
2004
Prog
ram
s pi
lote
d by
200
5Re
gion
al M
odel
dev
elop
edan
d ad
opte
d by
200
6
Faci
litat
e an
dco
ordi
nate
Impl
emen
tpi
lot
proj
ect
Ado
pt a
ndim
plem
ent
regi
onal
mod
el
Fund
ing
and
tech
nica
lsu
ppor
t
Dev
elop
men
tof
pro
gram
sPi
lotin
gPr
ogra
mm
esD
evel
op a
ndad
opt
regi
onal
Mod
el
Supp
ort
and
mon
itor
impl
emen
ta-
tion
Revi
ewim
plem
enta
tion
2.2.
3 D
evel
op a
Mod
el f
orin
tegr
atin
g H
IV a
nd A
IDS
into
wat
er R
esou
rce
Man
agem
ent
Revi
ew H
IV p
rogr
ams
inW
ater
Res
ourc
esM
anag
emen
t in
elec
ted
MS
by20
04G
uide
lines
for
Int
egra
tion
ofH
IV in
the
Wat
er S
ecto
r by
2005
.G
uide
lines
ado
pted
and
impl
emen
ted
by 2
006
Faci
litat
e an
dco
ordi
nate
Prov
ide
info
rmat
ion
and
impl
emen
tgu
idel
ines
Fund
ing
and
tech
nica
lsu
ppor
t
Revi
ewIn
tegr
atio
n of
HIV
in th
eW
ater
Res
ourc
eM
anag
emen
t
Dev
elop
and
adop
tG
uide
lines
Supp
ort
and
mon
itor
Impl
emen
tation
Supp
ort
and
mon
itor
impl
emen
tat-
ion
Revi
ewim
plem
enta
tion
[ 31 ]
2.2.
4D
evel
op
SAD
Cpr
ogra
mm
es a
nd g
uide
lines
for
redu
cing
vul
nera
bilit
y to
the
risk
of
occu
patio
nal
expo
sure
to
HIV
inf
ectio
n at
the
wor
kpla
ce in
diff
eren
tse
ctor
s
Stat
e of
occ
upat
iona
lex
posu
re t
o H
IV in
fect
ion
amon
g he
alth
wor
kers
dete
rmin
ed b
y 20
05Pi
lot
prog
ram
me
impl
emen
ted
amon
g he
alth
wor
kers
by
2006
St
ate
ofoc
cupa
tiona
l ex
posu
re t
oH
IV in
fect
ion
amon
gw
orke
rs in
all
SAD
C s
ecto
rsde
term
ined
by
2007
Regi
onal
gui
delin
es fo
r al
lse
ctor
s de
velo
ped
and
adop
ted
by 2
008
70 %
of
MS
impl
emen
ting
by20
08
Faci
litat
ede
velo
pmen
t& im
plem
enta
tion
Con
trib
ute
toth
e re
gion
alde
velo
pmen
tan
d at
coun
try
leve
lad
opt
&im
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
Ass
ess
leve
l of
occu
pati
onal
risk
am
ong
heal
th w
orke
rs
Dev
elop
and
pilo
tgu
idel
ines
amon
g he
alth
wor
kers
Impl
emen
tpi
lot
Revi
ew p
ilot
Ass
ess
leve
lof oc
cupa
tion
alri
sk a
mon
gw
orke
rs in
othe
r se
ctor
s
Revi
ew p
ilot ,
Dev
elop
and
harm
onis
ere
gion
algu
idel
ines
for
all
sect
ors
2.3.
1Pr
ovid
e te
chni
cal
supp
ort
to M
S to
rev
iew
and
stre
ngth
en t
heir
cap
acity
for
mul
ti-se
ctor
al c
oord
inat
ion
ofH
IV a
nd A
IDS
prog
ram
mes
in th
e co
ntex
t of
mai
nstr
eam
ing
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 2
Cap
acity
Bui
ldin
g an
d M
ains
trea
min
g H
IV a
nd A
IDS
into
all
SAD
C p
olic
ies
and
prog
ram
mes
Out
put
2.3
Hum
an R
esou
rces
and
Tec
hnic
al C
apac
ity o
f m
embe
r st
ates
to
impl
emen
t H
IV a
nd A
IDS
prog
ram
me
impr
oved
and
sus
tain
ed
Nat
iona
l co
ordi
natio
n of
HIV
and
AID
S re
view
ed b
y 20
05A
ll N
atio
nal
AID
SA
utho
ritie
s su
ppor
ted
inm
ulti-
Sect
oral
coo
rdin
atio
nby
end
of
2008
.Le
vel /
type
of
tech
nica
lsu
ppor
t
HR
pol
icie
s an
d pr
actic
esre
view
ed b
y 20
06G
uide
lines
for
str
engt
heni
ngH
R p
olic
ies
and
prac
tices
harm
onis
ed a
nd a
dopt
ed b
y70
% o
f M
S 20
08
Faci
litat
e an
dco
ordi
nate
2.3.
2 Re
view
and
str
engt
hen
HR
pra
ctic
es/p
roce
dure
sto
miti
gate
the
im
pact
of
HIV
and
AID
S on
pub
licse
rvic
e
Faci
litat
e an
dco
ordi
nate
Con
trib
ute,
adop
t an
dim
plem
ent
Ado
pt a
ndim
plem
ent
Fund
ing
and
tech
nica
lsu
ppor
t
Fund
ing
and
tech
nica
lsu
ppor
t
Ass
essm
ent
ofna
tiona
lco
ordi
natio
nm
echa
nism
sFa
cilit
atin
gte
chni
cal
supp
ort
insp
ecifi
c ar
eas
Revi
ew c
urre
ntH
R pr
actic
es &
proc
edur
es in
MS
Ass
essm
ent
ofna
tiona
lco
ordi
natio
nm
echa
nism
sFa
cilit
atin
gte
chni
cal
supp
ort
insp
ecifi
c ar
eas
Dev
elop
ing,
harm
oniz
ing
and
adop
ting
guid
elin
es f
orH
R p
ract
ices
/pr
oced
ures
Faci
litat
ing
tech
nica
lsu
ppor
t in
spec
ific
area
s
Supp
ort
impl
emen
tatio
n
→ →
Revi
ewim
plem
enta
tion
Revi
ewim
plem
enta
tion
[ 32 ]
SADC HIV and AIDS Business Plan
3.1.
1 Es
tabl
ish
a re
gion
alda
ta b
ase
on H
IV a
nd A
IDS
polic
ies,
pro
gram
s, b
est
prac
tices
and
res
ourc
esde
velo
ped
and
oper
atio
nal
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 3
Faci
litat
e Te
chni
cal
Res
pons
e, R
esou
rce
Net
wor
ks, C
olla
bora
tion
and
Coo
rdin
atio
n
Out
put
3.1
Enh
ance
d co
ordi
natio
n an
d sh
arin
g of
tec
hnic
al in
form
atio
n an
d re
sour
ces
in H
IV a
nd A
IDS
amon
g M
embe
r St
ates
and
par
tner
s th
roug
h SA
DC
Doc
umen
tatio
n of
pol
icie
s,pr
ogra
ms
and
best
pra
ctic
esin
pla
ce b
y 20
05, l
inke
d to
mon
itori
ng a
nd e
valu
atio
nac
tiviti
es.
Reg
iona
lD
atab
ase
in p
lace
by
2006
Best
pra
ctic
es i
dent
ified
and
diss
emin
ated
to
MS
Faci
litat
e th
ere
view
of
inpu
ts t
o th
eda
taba
se.
Faci
litat
e th
ede
velo
pmen
tof
the
data
base
Prov
ide
inpu
tto
the
data
base
Fund
ing
and
tech
nica
lsu
ppor
t -
Revi
ewda
taba
sein
puts
.
Supp
ort
and
mon
itor
impl
emen
tatio
nof
dat
a ba
se
→Ev
alua
ting
the
data
base
3.1.
2Es
tabl
ish
mec
hani
smfo
r ex
chan
ge o
f bo
th s
cien
tific
and
beha
viou
ral r
esea
rch
resu
lts in
the
SA
DC
reg
ion.
Esta
blis
hmen
t of
res
earc
hpr
iori
ties
with
in t
he S
AD
Cre
gion
Revi
ew o
f Re
sear
ch N
etw
orks
conc
lude
d by
200
5M
echa
nism
s fo
r in
form
atio
nsh
arin
g am
ong
rese
arch
ers
inpl
ace
by 2
006
Faci
litat
epr
oces
ses
and
form
ulat
e th
efr
amew
ork
for
info
rmat
ion
shar
ing.
Prov
ide
info
rmat
ion
and
Impl
emen
t
Fund
ing
and
tech
nica
lsu
ppor
t
-D
eter
min
ere
sear
chpr
iori
ties
for
SAD
C
Faci
litat
e th
ere
view
of
rese
arch
netw
orks
and
of p
lann
edan
d cu
rren
tre
sear
ch in
HIV
&A
IDS.
Supp
ort
info
rmat
ion
shar
ing
Mon
itor
info
rmat
ion
shar
ing
Eval
uatio
n of
the
Info
rmat
ion
shar
ing
mec
hani
sm
3.1.
3N
etw
orks
of
vari
ous
tech
nica
l ar
eas
esta
blis
hed
toFa
cilit
ate
info
rmat
ion
exch
ange
, col
labo
ratio
n an
dco
ordi
natio
n in
the
SA
DC
Regi
on, A
U a
nd g
loba
l
Num
ber
of r
esou
rces
inst
itutio
ns p
rovi
ding
tech
nica
l su
ppor
t re
late
d to
SAD
C b
usin
ess
plan
pri
oriti
esFr
amew
ork
for
netw
orki
ngan
d co
llabo
ratio
n de
velo
ped
by 2
006
Net
wor
king
mec
hani
sms
inpl
ace
by 2
006
Faci
litat
e th
ede
velo
pmen
tof
net
wor
ks.
Part
icip
ate
inne
twor
king
activ
ities
Fund
ing
and
tech
nica
lsu
ppor
t
-
-
Ass
ess
inst
itutio
nspr
ovid
ing
supp
ort
rela
ted
toSA
DC
Busi
ness
Plan
Mon
itor
impl
emen
tatio
nRe
view
impl
emen
tatio
n
3.1.
4 E
nhan
ce p
olic
ydi
alog
ue w
ithin
and
acr
oss
SAD
C s
ecto
rs
Cha
nnel
s of
info
rmat
ion
diss
emin
atio
n in
clud
ing
aW
EB s
ite i
dent
ified
and
deve
lope
d by
200
7
Faci
litat
ein
form
atio
ndi
ssem
inat
ion
Supp
ort
info
rmat
ion
diss
emin
atio
nat
cou
ntry
leve
l
Prov
ide
tech
nica
l an
dfin
anci
alsu
ppor
t
-C
ondu
ct a
rapi
das
sess
men
t of
the
mos
tap
prop
riat
ech
anne
ls t
o us
efo
r po
licy
rela
ted
info
rmat
ion
diss
emin
atio
n
Com
pile
and
diss
emin
ate
exis
ting
info
rmat
ion
→
Rev
iew
prog
ress
mad
e
[ 33 ]
3.2.
1D
evel
op r
egio
nal
guid
elin
es f
or c
olla
bora
tion
inH
IV a
nd A
IDS
in S
AD
C
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 3
Faci
litat
e Te
chni
cal
Res
pons
e, R
esou
rce
Net
wor
ks, C
olla
bora
tion
and
Coo
rdin
atio
n
Out
put
3.1
Enha
nced
col
labo
ratio
n (jo
int
and
com
plim
enta
ry i
mpl
emen
tatio
n of
pro
gram
mes
) in
the
res
pons
e to
HIV
and
AID
S an
d re
late
d di
seas
es i
n SA
DC
Regi
onal
gui
delin
es f
orpa
rtne
rshi
p co
llabo
ratio
n in
all
aspe
cts
of H
IV a
nd A
IDS
inte
rven
tions
dev
elop
ed b
y20
0670
% M
S im
plem
entin
ggu
idel
ines
by
2008
All
MS
part
icip
ate
in a
t le
ast
one
annu
al r
egio
nal p
artn
erco
ordi
natio
n m
eetin
g to
revi
ew p
rogr
ess
onim
plem
enta
tion
Faci
litat
e an
dco
ordi
nate
Con
trib
ute
topr
oces
s,ad
opt
and
impl
emen
tPa
rtic
ipat
e in
mee
tings
Fund
ing
and
tech
nica
lsu
ppor
tPa
rtic
ipat
e
- Con
vene
regi
onal
coor
dina
tion
& n
etw
orki
ngm
eetin
gs
Revi
ew c
urre
ntco
llabo
ratio
npr
actic
es in
MS
and
harm
onis
eEs
tabl
ish
data
base
of
glob
alan
d re
gion
alor
gani
satio
nsw
ith s
kills
or
wor
king
insp
ecifi
c ar
eas
of H
IV a
ndA
IDS
resp
onse
Dev
elop
and
harm
onis
egu
idel
ines
for
colla
bora
tion
in s
peci
ficar
eas
of t
here
spon
seEs
tabl
ish
part
ners
hips
and
mec
hani
sms
for
colla
bora
tion
Supp
ort
and
mon
itor
impl
emen
tatio
n
diss
emin
atio
n
[ 34 ]
SADC HIV and AIDS Business Plan
4.1.
1D
evel
op a
Res
ourc
eM
obili
zatio
n Pl
an
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 4
Fac
ilita
te R
esou
rce
Mob
iliza
tion
for
the
Reg
iona
l M
ulti-
Sect
oral
Res
pons
e
Out
put
4.1
Fund
s to
mat
ch t
he n
eeds
of
the
regi
onal
HIV
and
AID
S re
spon
se s
ecur
ed
Res
ourc
e M
obili
zatio
nst
rate
gy d
evel
oped
by
2004
.St
rate
gy i
mpl
emen
ted
and
adop
ted
by 2
005
Faci
litat
e th
ede
velo
pmen
tof
the
str
ateg
yan
d its
impl
emen
tatio
n
Prov
ide
info
rmat
ion
and
impl
emen
tth
e st
rate
gy.
Prov
ide
tech
nica
l in
put
and
reso
urce
s
Dev
elop
the
Res
ourc
eM
obili
zatio
nst
rate
gy
Ado
pt a
ndim
plem
ent
the
stra
tegy
Mon
itor
the
impl
emen
tatio
nof
the
stra
tegy
Mon
itor
the
impl
emen
tatio
nof
the
str
ateg
y
Eval
uate
the
impl
emen
tatio
nof
the
stra
tegy
4.1.
2Es
tabl
ish
SAD
C H
IVTr
ust
Fund
Mod
aliti
es a
nd g
uide
lines
for
the
mob
ilisa
tion
and
disb
urse
men
t of
fun
ds f
orth
e Tr
ust
Fund
com
plet
ed b
y20
05Fr
amew
ork
for
the
Trus
tFu
nd c
ompl
eted
by
2005
.SA
DC
Tru
st F
und
in P
lace
by 2
006
Faci
litat
epr
oces
ses
for
cond
uctin
gth
e fe
asib
ility
stud
y,de
velo
ping
the
Fram
ewor
kan
des
tabl
ishi
ngth
e Fu
nd
Prov
ide
info
rmat
ion
and
fund
s
Prov
ide
info
rmat
ion
and
fund
s
Con
duct
aFe
asib
ility
stud
y on
the
esta
blis
hmen
tof
a r
egio
nal
Fund
on
HIV
and
AID
S
Dev
elop
the
fram
ewor
kan
d es
tabl
ish
Trus
t Fu
nd.
Dev
elop
guid
elin
es o
nho
w t
he f
unds
will
be
mob
ilise
d an
dac
cess
ed b
yM
S an
d ot
her
stak
ehol
ders
Supp
ort
and
mon
itor
impl
emen
tation
of t
he T
rust
Fund
→
Revi
ewIm
plem
enta
tion
4.1.
3D
evel
op P
roje
ctPr
opos
als
for
Fund
ing
Proj
ect
Con
cept
Not
esco
mpl
eted
by
2004
.Pr
ojec
ts D
evel
oped
and
adop
ted
by 2
005
Faci
litat
e th
ede
velo
pmen
tof
PC
N a
ndth
e pr
ojec
ts
Prov
ide
info
rmat
ion
Prov
ide
tech
nica
lsu
ppor
t an
dre
sour
ces
Dev
elop
PCN
Dev
elop
and
adap
tatio
n of
Proj
ects
Supp
ort
and
mon
itor
impl
emen
tatio
nof
Pro
ject
s
Supp
ort
and
mon
itor
impl
emen
tatio
nof
Pro
ject
s
Revi
ewim
plem
enta
tion
of P
roje
cts
4.1.
4Es
tabl
ish
and
mai
ntai
n a
dono
rco
ordi
natio
n (D
C)
foru
m
Fram
ewor
k fo
r D
Ces
tabl
ishe
d by
200
5.C
oord
inat
ion
Fram
ewor
kad
opte
d an
d im
plem
ente
dby
200
5
Faci
litat
e th
ede
velo
pmen
tof
afr
amew
ork
for
coor
dina
tion
and
itsim
plem
enta
tion.
Prov
ide
info
rmat
ion.
Part
icip
ate
inth
e do
nor
Foru
m
Dev
elop
men
tof
aFr
amew
ork
for
Coo
rdin
atio
n
Ado
ptio
n an
dim
plem
enta
tion
of t
heC
oord
inat
ion
Mec
hani
sm
Mon
itor
coor
dina
tion
Mon
itor
coor
dina
tion
Revi
ewco
ordi
natio
nm
echa
nism
4.1.
5. E
stab
lish
and
mai
ntai
na
part
ners
hip
foru
m a
mon
gke
y st
akeh
olde
rs f
or r
esou
rce
mob
ilisa
tion
e.g.
IC
Ps,
priv
ate
and
publ
ic s
ecto
rs.
Part
ners
hip
Foru
mes
tabl
ishe
d by
the
end
of
2005
.
Coo
rdin
ate
and
faci
litat
eth
e fo
rum
Part
icip
ate
inth
e fo
rum
Part
ners
hip
Foru
m t
ost
rate
gise
[ 35 ]
KEY
TA
SKS
KEY
PER
FOR
MA
NC
ER
ESPO
NSI
BIL
ITIE
STI
ME
FRA
ME
: Maj
or a
ctio
ns i
n :
(IN
TER
VEN
TIO
NS)
IND
ICA
TO
RS
Sect
MS
ICPs
Maj
or A
ctio
ns
Maj
or A
ctio
nsM
ajor
Act
ions
Maj
or A
ctio
nsM
ajor
Act
ions
2005
2006
2007
2008
2009
Inte
rven
tion
are
a 5
Fac
ilita
te M
onito
ring
and
Eva
luat
ion
of t
he R
egio
nal
Mul
ti-Se
ctor
al R
espo
nse
Out
put
5.1
Effe
ctiv
e m
onito
ring
of
the
HIV
and
AID
S re
spon
se in
the
SA
DC
reg
ion
5.1.
1 D
evel
op a
nd i
mpl
emen
tan
M&
E Pl
an f
or a
Reg
iona
lM
ulti-
Sect
oral
Res
pons
e.
M&
E Fr
amew
ork
deve
lope
dby
200
5.Fr
amew
ork
ado
pted
and
impl
emen
ted
by 2
006.
Dev
elop
and
man
age
plan
Prov
ide
info
rmat
ion
and
resp
ond
to f
eedb
ack.
Fund
ing
and
tech
nica
lsu
ppor
t.
-
Dev
elop
the
M&
EFr
amew
ork
Plan
Ado
pt a
ndim
plem
ent
the
Fram
ewor
kor
Pla
n
Mon
itor
the
impl
emen
tatio
nof
the
Fram
ewor
k or
Plan
Eval
uate
the
impl
emen
tatio
nof
the
Fram
ewor
k or
Plan
5.1.
2 I
mpl
emen
tatio
n of
Mas
eru
Dec
lara
tion,
Abu
jade
clar
atio
n an
d U
NG
ASS
Syst
em f
or t
rack
ing
the
decl
arat
ion
adop
ted
and
impl
emen
ted
by M
S by
200
5
Faci
litat
e,su
ppor
t an
dm
onito
rim
plem
enta
tion
Prov
ide
info
rmat
ion
And
impl
emen
t th
etr
acki
ngsy
stem
Fund
ing
and
tech
nica
lsu
ppor
t -
Revi
ewM
S sy
stem
s fo
rm
onito
ring
impl
emen
tatio
nof
tar
gets
Dev
elop
,ha
rmon
ise
and
adop
tgu
idel
ines
for
mon
itori
ng
Supp
ort
and
mon
itor
impl
emen
tatio
n→
5.1.
3M
onito
r th
eIm
plem
enta
tion
of t
heex
istin
g SA
DC
Cod
e of
Con
duct
on
empl
oym
ent
and
HIV
and
AID
S
Revi
ew t
he s
tate
of
impl
emen
tatio
n co
mpl
eted
by 2
005.
Syst
em f
or t
rack
ing
the
code
adop
ted
and
impl
emen
ted
by 2
006
Faci
litat
e th
eas
sess
men
t of
the
Cod
e an
dde
velo
pmen
tof
its
tra
ckin
g
Prov
ide
info
rmat
ion
and
impl
emen
t th
etr
acki
ngsy
stem
Fund
ing
and
tech
nica
lsu
ppor
t -
Ass
essm
ent
com
plet
ed a
ndad
opte
d
Trac
king
syst
emde
velo
ped
and
impl
emen
ted
Mon
itori
ngRe
view
5.1.
4Es
tabl
ish
anIn
form
atio
n M
anag
emen
tSy
stem
for
tra
ckin
g th
e H
IVan
d A
IDS
Res
pons
e at
SA
DC
leve
l.
Dev
elop
a F
ram
ewor
k fo
rM
IS b
y 20
05.
Ado
pt a
nd i
mpl
emen
t th
efr
amew
ork
by 2
006
SAD
C M
IS h
arm
onis
ed w
ithex
istin
g sy
stem
s in
clud
ing
the
one
bein
g de
velo
ped
byU
NA
IDS
Faci
litat
e th
ede
velo
pmen
tof
afr
amew
ork
and
itsim
plem
enta
tion.
Prov
ide
info
rmat
ion.
Esta
blis
hM
IS in
coun
trie
sno
n ex
iste
nt
Supp
ort
Initi
ate
Dev
elop
men
tof
the
MIS
fram
ewor
k.
Fina
lizat
ion
ofth
e Fr
amew
ork
Ado
ptio
nan
dim
plem
entat
ionof
the
Fram
ewor
k
Mon
itor
the
impl
emen
tatio
nof
the
fram
ewor
k
Con
duct
an i
mpa
ctev
alua
tion
of t
he I
MS
at c
ount
ryan
dre
gion
alle
vel.